METHOD FOR LYMPHOTROPIC ADMINISTRATION OF MEDICINAL PRODUCTS IN TREATING ABDOMINAL DISEASES

摘要

FIELD: medicine.SUBSTANCE: medicinal products are administered through a catheter inserted according to Seldinger's technique. A spinous process of the twelfth thoracic spine is localised in a sitting patient with his/her back straightened; at 2.5-3.0 cm to the left from the spinous process, the skin and deeper tissues are anaesthetised with a local anaesthetic injected through a common injection needle. A Tuohy needle is then advanced along an upper edge of the rib to a body mid-line to reach a neural spine of the twelfth thoracic spine; it is passed over from above in the lateral direction; the needle is advanced into a retroperitoneal space to a point of thoracic duct formation; and Lidase 32 units dissolved in 0.25% novocaine 2 ml is injected through the inserted catheter. Then 5-10 minutes later, third- or fourth-generation cephalosporin 1000 mg dissolved in 0.25% novocaine 5 ml is injected 2 times a day for 5 days; Derinat solution 5 ml is injected every second day during 10 days; 2% novocaine is injected in a dose of 2 ml every 8 hours three times a day.EFFECT: method provides an optimum route of medicinal products administration to a pathologic lesion and ensures a prolonged lymphotropic therapy with effective anaesthesia, reducing the number of exudative-inflammatory complications.1 ex, 1 dwg